To investigate the effect of health-promoting text messages on metabolic and multiple cardiovascular disease (CVD) risk factors among Swedish primary care patients with hypertension.
Key Findings:
No overall difference in improved CVD risk profiles between intervention and control groups.
Both groups decreased their number of CVD risk factors at follow-up.
Significant improvements in CVD risk factor control were observed in sedentary participants and those with poor self-rated health in the intervention group.
The intervention group showed a modest reduction in HbA1c levels.
Interpretation:
While health-promoting text messages did not significantly improve overall CVD risk profiles, they had a modest positive effect on specific subgroups, indicating potential public health implications.
Limitations:
Limited clinical impact of the intervention on metabolic risk factors.
The overall effect on CVD risk factors was not significant for the entire population.
Conclusion:
Health-promoting text messages may have important implications for targeted groups, despite limited overall effectiveness on CVD risk factors.